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Missouri State High SchoolActivities Association2020-21InterscholasticYouth SportsBrain InjuryReport
2020-2021Interscholastic Youth Sports Brain Injury Prevention ReportSCS HCS HB 300, 334, and 387 became law in August 2011, and it mandates that an organization withpublic schools as members must publish and distribute an annual report regarding the impact of studentathlete concussions and head injuries which should include efforts that may be made to minimizedamages from school sports injuries. The Department of Health and Senior Services, along with astatewide association of school boards [Missouri School Board Association (MSBA)], a statewideactivities association that provides oversight for athletic or activity eligibility for students and schooldistricts, [Missouri State High School Activities Association (MSHSAA)], and an organization named bythe Department of Health and Senior Services that specializes in support services, education andadvocacy of those with brain injuries [Brain Injury Association of Missouri (BIA-MO)] developedguidelines, pertinent information and forms to educate coaches, staff members, athletes and parents orguardians of youth athletes of the nature and risk of concussion and brain injury including continuing toplay after a concussion or a brain injury (1).MSHSAA has distributed and updated head injury materials annually since August of 2009 to its memberschools using a variety of sources (2). These materials provide information that will educate parents,coaches, staff members, and athletes on the prevention, management, and dangers of head injuries ininterscholastic sports (3). In December of 2011, MSHSAA conducted its first annual survey of memberschools and the impact of head injuries. A tenth survey was conducted from August 1, 2020 through June30, 2021, to collect data from the MSHSAA member schools. Five hundred and eighty-six schools werecontacted to complete the survey during the 2020-2021 school. Working with the Brain InjuryAssociation of Missouri, Department of Health and Senior Services, Missouri Athletic TrainersAssociation, Missouri School Nurses Association and Missouri School Board Association, a pilotprogram began for the winter and spring of 2014, Sports Concussions: Facts, Fallacies and New Frontiers.The program was conducted in five regional sites presenting a one-day seminar educating staff members,coaches, nurses and athletic trainers on the new research and policies pertaining to head injuries. Becauseof the great success and attendance of the program, we are hopeful this partnership continues in futureyears.Harvey Richards, retired Associate Executive Director formerly in charge of Sports Medicine forMSHSAA, was a part of the state legislative process for the head injury bill (4). Greg Stahl is the currentAssistant Executive Director in charge of Sports Medicine for MSHSAA, responsible for the distributionof educational materials to member schools, and conducted the 2020-2021 Head Injury Survey (5).(1)(2)(3)(4)(5)Timetable of Meetings, Appendix A.Fall membership-mailing, e-mails, website (mshsaa.org), district in-services.Educational packet for member schools, Appendix B.Harvey Richards, Retired Associate Executive DirectorGreg Stahl, Assistant Executive Director, 1 N Keene St., Columbia, MO 65201; greg@mshsaa.org; (573) 875-4880.
2020-2021 Head Injury SurveySchoolLevelHighSchools9-12 andCombinedSchools 712Total SchoolsCompleted SurveyDid Not Completethe Survey% of MemberSchools thatCompleted Survey2021 2020 2019 2021 2020 2019 2021 2020 2019202158694.2% 97.1% 84%58959255257249834179420202019Use of Online VideoThe National Federation of High School Activities (NFHS) has produced and made available for free, theonline course “Concussions in Sports.” MSHSAA has approved this course for coaches to take as theireducational component of the law. Many school districts continue to view this course as an in-servicewith the entire coaching staff, while other school districts have coaches complete the course individuallyto meet the by-law requirement for completing concussion education. For the year July 1, 2020 throughJune 30, 2021, 1,142 online courses were completed in Missouri.The next table reflects the number of participants for each sport and/or activity by our member schools.This number will include duplicates for students who are in multiple activities. Music/Band, SidelineCheerleading (Spirit) and Dance begin in the fall, but some schools will only participate in the winter orspring. The following table reflects the participation rates for both the 2019-2020 and 2020-2021 schoolyears.Note: Both student and school participation numbers, especially in contact sports, during the 20202021 school year substantially decreased due to the presence of Covid-19.
High School Sport/Activity11-man Football8-man s FishingBowlingChessCross Country-BoysCross Country-GirlsDance/Pom TeamField cholar BowlSideline Cheerleading h/Debate/TheatreSwimming and Diving-BoysSwimming and Diving-GirlsTarget ShootingTennis-BoysTennis-GirlsTrack and Field-BoysTrack and Field-GirlsVolleyball-BoysVolleyball-GirlsWater ,09810,1164665,3231,351192,717High School Sport/ActivitySport*Taking into Account 20% Duplication of AthletesTotal Adjustment Participation SportActivity*Taking into Account 20% Duplication of StudentsTotal Adjustment Participation ActivityTotal Adjustment Participation 1,193*20% duplication is only an estimate and not an actual number.
Data CollectedSchools were asked to provide information that related to possible head injuries. If signs or symptoms of a head injury werepresent, the student was to be withheld from that sport and or activity for a minimum of 24 hours and must have been seen bya medical professional. They must also provide to the school a Return to Play form before return to the sport or activity. Theinformation below is a reflection of those students who had to see a medical professional and provide a Return to Play form.Not all incidents would have resulted in a yScholar BowlSideline CheerMusic ActivitiesDance/PomSpeech/Debate/TheatreBass FishingBowlingChessTarget ShootingTOTALActivityBaseball - SpringBasketball - BoysBasketball - GirlsCross Country - BoysCross Country - GirlsField Hockey - Girls11-Man Football8-Man FootballGolf – BoysGolf - GirlsSoccer - BoysSoccer – GirlsSoftball - Girls FallSwim/Diving - BoysSwim/Diving - GirlsTennis-BoysTennis - GirlsTrack/Field (B) SpringTrack/Field (G) SpringVolleyball - BoysVolleyball - GirlsWater Polo - BoysWrestling - BoysWresting – GirlsBaseball - FallSoftball - Girls SpringLacrosse - ted14191685117030716814221020013082021179HIGH SCHOOL 33183109147377,014HIGH SCHOOL 52071110091,976
2020-2021 Concussion Survey ResultsSportsMaleFemaleTotalTotal199Number of DaysSport was Missed12,7638,91421,677Number of DaysActivity was Missed3,242Number of DaysClass Missed1,3651,0212,386Number of DaysClass Missed2861,95524,9192,672Suspected Head Injuries1,4628071,756Activities# of Activity ReportsGRAND TOTALThere were a total of 1,462 males and 807 females held out of practices and contests due to a “suspected”head injury, for a total of 12,763 (males) and 8,914 (females) days of missed participation. This meansthat the male athletes were held out an average of 8.73 days per incident, and the female athletes alsowere held out an average of 11.05 days per incident. This does show a good correlation to the gradualreturn-to-play guidelines, which indicates at a minimum a five-day to seven-day return rate. The numberof days that a student missed class time still remains a low number compared to the total number of daysmissed in the sport or activity practice/contest.2020-2021Top 7 Head Injury Sports/ActivitiesSport/ActivityFootballSoccer (G)Basketball (G)Sideline CheerleadingWrestling (B)Soccer (B)Basketball (B)2019-2020Top 7 Head Injury Sports/ActivitiesDiagnosed Head InjuriesSport/ActivityDiagnosed Head Injuries65421717817412411194FootballSideline CheerleadingBasketball (G)Wrestling (B)Soccer (B)Basketball (B)Volleyball (G)1,369345250262218168166Note: Due to the presence of Covid-19, the number of overall participants was substantially less;therefore, the sport specific and overall number of head injuries decreased significantly incomparison to previous years.2020-2021Percentage of Head Injuries per Total OccurrencesSport/ActivityFootballSoccer (G)Basketball (G)Sideline CheerleadingWrestling (B)Soccer (B)Basketball (B)% of total reported Head Injuries33.5%11.1%9.1%8.9%6.3%5.7%5.0%
Concussion Rates per 10,000 athletic exposuresFrom High School RIO Surveillance StudySport/ActivityRateFootballSoccer (G)Soccer (B)Wrestling (B)Basketball (G)Basketball (B)5.34.12.92.62.21.0MSHSAA Athletic exposure was calculated from the first day of practice to the end of districts for thatsport. This is not a true actual count of participation but very accurate assumption. Example:Football had on the average 84 days of practice and/or contests.84 x 20,566 participants 1,727,544 exposures.872 reported head injuries.8721,727,544 X10,000MSHSAA – Top 7 Concussion in Sports/ActivitiesConcussion Rates per 10,000 Athletic ExposuresSport/Activity*Rate #1**Rate #2Soccer (G)FootballWrestling (B)Sideline CheerleadingBasketball (G)Soccer (B)Basketball 21.80.77*Rate #1: Student athletes removed from participation due to suspected concussion.**Rate #2: Student athletes removed from participation due to diagnosed concussion.There were several questions asked on this year’s survey:1. Does your school have a written and readily accessible Emergency Action Plan (EAP)?2. Does your school have a written and readily accessible for EAP for each venue that your schoolteams use for practice and contests?3. Who is the individual responsible for the creation, updating and administration of the EAP?4. How frequently are the EAPs for your school reviewed and updated?5. Are the EAPs for each venue/athletic facility at your school practiced and reviewed with criticalpersonnel relative to that venue/athletic facility?
6. Which critical personnel are involved with the practice and review of the EAP for eachvenue/athletic facility?7. Does your school have access to a licensed or certified Athletic Trainer or other medical careprovider?8. Does your school have any additional school policies or medical group policies above and beyondMSHSAA or NFHS guidelines for dealing with “Lightning/Weather”?9. Does your school have any school policies or medical group policies above and beyondMSHSAA or NFHS guidelines for dealing with “Dietary or Supplements”?10. Does your school have any additional school policies or medical group policies above and beyondMSHSAA or MFHS guidelines for dealing with “Performance Enhancing Supplements orAnabolic-adrenergic Steroids”?11. Have you implemented the MSHSAA guidelines for using Wet Bulb Globe Thermometer formeasuring environmental conditions to determine the status of practices/competitions?12. Does your school offer education for athletes, parents and coaches on heat illness, such as signsand symptoms, hydration recommendations and ways to monitor hydration status?Below are the results from these questions:High School ResponsesQuestionAnswerNumber ofResponsesDoes your school have a written and readily accessibleEmergency Action Plan (EAP)?Yes517No34Does your school have written and readily accessible EAPfor each venue that your school teams use for practice andcontests?Yes461No90Athletic Trainer168School Administrator339Head Coaches36Team Physician2External Medical Providers6Each 31Who is the individual responsible for the creation, updatingand administration of the EAP?How frequently are the EAPs for your school reviewed andupdated?Are the EAPs for each venue/athletic facility at your schoolpracticed and reviewed with critical personnel relative tothat venue/athletic facility?
QuestionWhich critical personnel are involved with the practice andreview of the EAP for each venue/athletic facility?Does your school have access to a licensed or certifiedAthletic Trainer or other medical care provider?AnswerAthletic Trainers, Coaches, SchoolAdministrators, Team Physician, ExternalMedial Providers or EMSAthletic Trainers, Coaches, SchoolAdministrators, Team PhysicianAthletic Trainer, Coaches, SchoolAdministratorCoaches, School AdministratorNot Applicable – We do not have an EAPfor each venue/athletic facility that ourschool team usesYes, Full Time – All practices and gameYes, Part Time – Some practices andsome gamesYes, Part Time – Games OnlyYes, Part Time – Drop in evaluation ofathletes during the school day but not inattendance at practices or gamesNone – Our school has no AthleticTrainer assistance or other medical careprovider; our coaches have to handle allinitial injury surveillance.Number ofResponses591522519260189977346146Does your school have any additional school policies ormedical group policies above and beyond MSHSAA orNFHS guidelines for dealing with “Lightning/Weather”?Yes132No419Does your school have any school policies or medicalgroup policies above and beyond MSHSAA or NFHSguidelines for dealing with “Dietary or Supplements”?Yes47No504Does your school have any additional school policies ormedical group policies above and beyond MSHSAA orNFHS guidelines for dealing with “Performance EnhancingSupplements or Anabolic-adrenergic Steroids”?Yes84No467Yes376No175Yes, education to coaches onlyYes, education to coaches and athletesYes, education to coaches, athletes andparentsNo, we do not offer educational materialregarding heat illness134166Have you implemented the MSHSAA guidelines for usingWet Bulb Globe Thermometer for measuring environmentalconditions to determine the status ofpractices/competitions?Does your school offer education for athletes, parents andcoaches on heat illness, such as signs and symptoms,hydration recommendations and ways to monitor hydrationstatus?Educational materials were distributed to all member schools and are available for the public to accessthrough our website (www.mshsaa.org). Awareness of this serious issue has come to the forefront.Several schools have requested an in-service to educate their coaching staff, with professionals20645
conducting the program. Our staff, along with several others, has put programs in place to continue theeducational effort and stay abreast of any new research available.This past year, MSHSAA supported the Brain Injury Association of Missouri in putting together aprogram at three different locations in the state of Missouri: Sports Concussions: Facts, Fallacies andNew Frontiers.SEMINAR TOPICS included: Screening for Concussions Identification of Concussions Care Management of Concussions Prevention of ConcussionsMSHSAA will conduct an annual survey during each summer to collect yearlong data. The SportsMedicine Committee will evaluate the questions and the report.
APPENDIX A
2010-2021 Timetable of MeetingsPlaceMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MONFHS Summer Meeting- Sports Medicine CommitteeParkway School District- Concussion PresentationMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOCapitol, Jefferson City, MO- Concussion BillCapitol, Jefferson City, MO- Meeting – House Bill 300Phone Conference- House Bill 300St. Louis Children’s Hospital- Press Conference House Bill 300MSHSAA Office- Phone Conference - House Bill 300NFHS Summer Meeting- Sports Medicine CommitteeMSHSAA Office- Conference Call - ConcussionsMSHSAA Office- Concussion MeetingMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOConference Call- Adult Brain Injury (MO Dept. of Health/Sr. Svc.)Conference Call- Adult Brain Injury (MO Dept. of Health/Sr. Svc.)Meeting in St. Louis- St. Louis Brain Association MeetingMercy Sports Medicine Conference- Exertional Heat IllnessesMSHSAA Office- Adult Brain Injury (MO Dept. of Health/Sr. Svc.)University of Missouri Research- Survey of all InjuriesCoaches Training Meeting (Chillicothe)- Head/Spinal Injuries (Hedrick Medical Building)- St. Luke’s College of Health SciencesMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOMSHSAA Office- Meeting with Dr. Hubbard, St. Luke’sConference Call- Brain Injury Association of MissouriUniversity of Missouri Research- Survey of all InjuriesDate of MeetingApril 28, 2010July 6-9, 2010August 12, 2010January 6, 2011January 11, 2011February 7, 2011February 25, 2011March 4, 2011March 7, 2011June 27 – July 1, 2011August 16, 2011August 25, 2011January 5, 2012January 19, 2012February 14, 2012March 1, 2012March 30-31, 2012August 30, 2012June 1, 2012October 12, 2012December 13, 2012April 3, 2013April 16, 2013June 2, 2013
NFHS Summer Meeting- Sports Medicine CommitteeStoney Creek Inn- Brain Injury Association of Missouri- Annual Meeting PlanningCoaches Training Meeting- St. Luke’s College of Health SciencesConference Call- St. Luke’s College of Health SciencesConference Call- University of Missouri Journalism- Concussion InterviewNFL – Chiefs- Head’s Up Mom’s Football Safety ClinicMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Springfield, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Kansas City, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- St. Louis, MONFHS Summer Meeting- Sports Medicine CommitteeSummer’s AD Workshop- Emergency Action PlanningStoney Creek Inn- Brain Injury Association of Missouri- Concussion Seminar PlanningMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Springfield, MONFHS Football Meeting- Indianapolis, INSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Columbia, MOMissouri United Schools Insurance Council- Concussion Seminar- Lake of the OzarksSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- St. Louis, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Kansas City, MOJune 24-28, 2013September 6, 2013October 2, 2013October 23, 2013November 12, 2013December 3, 2013December 12, 2013January 14, 2014January 22, 2014January 27, 2014February 4, 2014June 27 – July 2, 2014July 31, 2014October 8, 2014December 11, 2014January 16, 2015January 23-25, 2015January 27, 2015January 29-30, 2015February 5, 2015February 12, 2015
MSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOUSA/NFL Football Meeting- Indianapolis, INSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Cape Girardeau, MOUSA/NFL Football Meeting- New York, New YorkMIAAA Conference- Concussion Information Booth/Heads Up Football- Lake Ozark, MOSports Medicine Advisory Committee Meeting- Overuse Injuries in Baseball- Indianapolis, INNFHS Summer Meeting- Sports Medicine Committee- New Orleans, LAOfficiate Missouri Day- St. Louis, MOSERC Sports Medicine Symposium- Kansas City, MOBrain Injury Association- Statewide Conference CallKBIA Radio Interview- Athletic Trainers at High School Sporting EventsBrain Injury Association Meeting- St. Louis, MOMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Cape Girardeau, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- St. Louis, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Springfield, MOUSA/NFL Football Meeting- Indianapolis, INMIAAA Conference- Concussion Information Booth- Lake Ozark, MONFHS Summer Meeting- Sports Medicine Committee- Reno, NVMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- St. Louis, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Kansas City, MOFebruary 18, 2015February 22, 2015February 26, 2015March 26-27, 2015April 10-14, 2015June 8-10, 2015June 26 – July 3, 2015July 24-25, 2015August 1, 2015August 18, 2015September 18, 2015September 23, 2015December 10, 2015February 17, 2016February 18, 2016February 22, 2016February 25, 2016March 21-23, 2016April 8-12, 2016June 28 – July 3, 2016December 3, 2016January 26, 2017February 2, 2017
Sports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Springfield, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Cape Girardeau, MOSolutions for Safety in Sports Seminar- Kansas City, MOMIAAA Conference- Concussion Information Booth – Head Injury Survey Info- Lake Ozark, MONFHS Summer Meeting- Sports Medicine Committee- Providence, RIMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- St. Louis, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Cape Girardeau, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Springfield, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Kansas City, MOMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOMIAAA Conference- Concussion Information Booth – Head Injury Survey Info- Lake Ozark, MONFHS SMAC Summit- Indianapolis, INNFHS Summer Meeting- Sports Medicine Committee- Chicago, ILMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- St. Louis, MOMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Kansas City, MOFebruary 9, 2017February 23, 2017March 2, 2017March 28-29, 2017April 7-11, 2017June 28 – July 3, 2017September 5, 2017January 29, 2018February 2, 2018February 6, 2018February 8, 2018February 12, 2018March 1, 2018April 8-10, 2018April 21-23, 2018June 27-July 3, 2018September 10, 2018February 26, 2019February 28, 2019March 4, 2019
Sports Concussion: Facts, Fallacies and New Frontiers- Brain Injury Association- Columbia, MOMIAAA Conference- Concussion Information Booth – Head Injury Survey Info- Lake Ozark, MONFHS Summer Meeting- Sports Medicine Committee- Indianapolis, INMSHSAA Sports Medicine Advisory Committee Meeting- Columbia, MOSports Concussion: Facts, Fallacies and New Frontiers- Brain Injury AssociationColumbia, MOMSHSAA Sports Medicine Advisory Committee MeetingColumbia, MOMIAAA Conference- Concussion Information Booth – Head Injury Survey InfoLake Ozark, MONFHS Summer Meeting- Sports Medicine CommitteeVia ZOOMMSHSAA Sports Medicine Advisory Committee Meeting- Sports Medicine Committee- COVID Planning MeetingVia ZOOMMSHSAA Sports Medicine Advisory Committee Meeting- Via ZoomMSHSAA Sports Medicine Advisory Committee MeetingVia ZoomMIAAA Conference- Concussion Information Booth – Head Injury Survey InfoLake Ozark, MONFHS Summer Meeting- Sports Medicine CommitteeOrlando, FloridaMarch 11, 2019April 7-9, 2019June 26-July 2, 2019September 16, 2019February 7, 2020March 15, 2020Postponed – COVID19June 26 - July 2, 2020June 4, 2020September 3, 2020March 25, 2021April 11-13, 2021June 28 - July 2, 2021
APPENDIX B
MSHSAA INTERSCHOLASTIC BRAIN INJURY SURVEY2020-2021HOUSE BILL 300 – Brain Injury Prevention ActAs a reminder to all MSHSAA member schools, House Bill 300 requires the MSHSAA and it’s member schools to reportand collect information on head injuries each school year. At this time your school needs to start collecting informationin order to the complete the MSHSAA Brain Injury Survey for the 2018-2019 school year. The MSHSAA Brain InjurySurvey will open on May 1st and will close on June 30th. An email blast will be sent to all Athletic Directors, ATC’s andSchool Nurses notifying you of the survey and containing a direct link to the survey. In order for your school’s AthleticTrainer (ATC) or School Nurse to receive this email blast, please make sure they are added to your school’sAdministrators page at www.mshsaa.org.PLEASE START NOW WITH COLLECTING DATA IN RELATION TO THE FOLLOWING AREAS/TOPICS SO YOUR SCHOOL CANBE PREPARED FOR COMPLETING THE 2019-2020 MSHSAA INTERSCHOLASTIC BRAIN INURY SURVEY.**Your school’s use of Emergency Action Plans for each sport/activity practices, games/contests, venues.**Your school’s use of an Athletic Trainer(ATC) or other medical providers. At practices? At games/contests? Full time?Part-time?**Your schools use of EMT services(ambulance) at athletic contests. All contests? Sport specific contests?**Does your school use the NFHS video “Concussion in Sports – What you need to know”, to educate your coachingstaffs during the school year?HEAD INJURIES OCCURING “DURING” SPORT OR ACTIVITY1. Number of Students removed from sport or activity practices and contests due to signs and symptoms of a concussionand had to obtain a medical Return To Play form.2. Number of Return To Play forms that indicated a diagnosis of a concussion.3. Total number of days of practices and contests that were missed by student athletes in each sport/activity due todiagnosis and requirement dictated on through the Return To Play protocol.4. Total number of days of classroom attendance that students missed due diagnosed concussion.HEAD INJURIES OCCURING “OUTSIDE” OF A SPORT OR ACTIVITY1. Number of Students removed from sport or activity due to head injury occurring outside of the sport/activity(caraccident, accident at home, etc.) and had to obtain a medical Return To Play form.2. Number of Return To Play forms that indicated a diagnosis of a concussion.3. Total number of days that were missed by students in each sport/activity who were required to follow Return To Playprotocol.4. Total number of days of classroom attendance that students missed due diagnosed concussion.(Additional Information - See Back Page)
REMINDERS FORALL ATHLETIC DIRECTORSPLEASE MAKE SURE THE FOLLOIWNG REQUIREMENTS ARE IN PLACEConcussion Information and Materials All coaches must take a course on the signs, symptoms, and prevention of concussions annually. There is a free-of-charge course that is located on the NFHS Learning Center website(www.nfhslearn.com). Once there, go to the FREE/ELECTIVE COURSES section. Click on the rightarrow until you come to the “Concussion in Sports – What You Need To Know” course. There is also a link to this course on our website located at (www.mshsaa.org) located on theSports Medicine Tab in the CONCUSSION section. All parents and athletes must receive and sign for the concussion materials as indicated on theMSHSAA Pre-Participation Physical Form. The concussion information for parents and athletes can be found in the following three locations: The free NFHS “Concussion in Sports” course described above; The materials that are provided on our website (www.mshsaa.org) by clicking on the SportsMedicine Tab. The Concussion Information PowerPoint located on our website (www.mshsaa.org) by clicking onthe Sports Medicine Tab and then on “MSHSAA Concussion Video Introduction.” Athletic Directors must keep accurate records of this information and be able to provide it to MSHSAAif asked to do so.Emergency Action Planning Guide On the MSHSAA web site under Sports Medicine is information for your school to set up andimplement the “Anyone Can Save a Life” program. This program is free of charge. If you have any question, please contact MSHSAA.Online Sports Medicine Information Please note that printed copies of the MSHSAA Sports Medicine Manual are no longer being sent in theMSHSAA rules book mailings. The Sports Medicine information is located online by going to the M
Brain Injury Report. 2020-2021 . Interscholastic Youth Sports Brain Injury Prevention Report . SCS HCS HB 300, 334, and 387 became law in August 2011, and it mandates that an organization with . The National Federation of High School Activities (NFHS) has produced and made available for free, the
